Sudarshan Rokaya , 1 and half years old male child from Nalaghat-8, Jajarkot was admitted at ADC on 2nd Baisakh 2075with a chief complain – unable to sit and crawl independently. According to his mother, he is a preterm baby (7 months) with no history of cry at the time of birth (delivery at home). The baby started to recognize his mother at the age of 1 year, started cooing at 1 year, started to speak 2 letter word at the age of 14 months and rolling at 16 months.
On observation of the child, his build was mesomorphic and facial grimace was normal. He had no drooling and dismorphic features. He has normal hearing and vision with impaired speech. On examination his tone was normal in bilateral upper and lower limb with normal superficial and deep reflexes. He had good head control and rolling but was unable to creep, sit, crawl, stand and walk. He had impaired balance and unable to do toileting, eating and dressing. He was diagnosed as Diplegic Cerebral Palsy. Our anticipated goals for him for initial 1 month was to make him able to creep and make him sit independently with trunk control.
The treatment given for him was Neurodevelopmental Therapy (Bobath Approach) for crawling and creeping using different attractive toys. Play therapy while sitting in order to gain his trunk control before independent sitting. Functional exercises like holding and throwimg different objects, reaching etc were done for upper extremity function. Also, basic speech therapy was given.
What we achieved after 1 months of treatment sessions?
Now he is able to crawl at least for 5 to 6 steps. He can hold his trunk while siotting for at least 2-3 minutes. He can play different toys for 5 to 10 mins. He can speak 2-3 words more than before.
(Report is prepared by Dipendra Thakur ; Senior physio therapist of ADC)
Thank You !